Individual
BRETT J WIDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 E COUNTY ROAD 540A, LAKELAND, FL 33813-3825
(863) 680-7190
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17521
MS
207Q00000X
Family Medicine Physician
Primary
ME97816
FL
Other
Enumeration date
07/25/2006
Last updated
08/01/2023
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